,
,
,
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a. Autonomy.
b. Accountability.
c. Advanced practice.
d. Nurse practitioner.
ANS: A
Autonomy is an essential element of professional nursing. Some independent nursing
interventions such as implementing coughing and deep breathing exercises and collaboration
with other health professionals can be initiated without medical orders. Accountability means
that the nurse is responsible, professionally and legally, for the type and quality of nursing care
provided. Advanced practice nurse is an umbrella term for advanced clinical nurses such as nurse
practitioners who provide care to a group of patients.
10. The physician is planning to take the patient to surgery in the morning and leaves an order
for the nurse to get the patient to sign the surgical permit. The physicians note indicates that the
patient has been educated on the procedure. However, the patient tells the nurse, I have no idea
what hes going to do. He rushed in and rushed out so fast, I couldnt ask any questions. The nurse
does not allow the patient to sign the permit and calls the physician to inform him of the patients
statement. This is an example of the nurse acting as
a. Patient advocate.
b. Patient educator.
c. Manager.
d. Clinical nurse specialist.
ANS: A
As a patient advocate, the nurse protects the patients human and legal rights, including the right
of the patient to understand procedures before signing permits. Although nurses can be
educators, it is the responsibility of the surgeon to provide education for the patient in
preparation for surgery, and it is the nurses responsibility to notify the physician if the patient is
not properly educated. Managers coordinate the activities of members of the nursing staff in
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delivering nursing care, and clinical nurse specialists are experts in a specialized area of nursing
practice in a variety of settings.
11. The patient requires routine gynecological services after giving birth to her son, and while
seeing the nurse midwife, she asks for a referral to a pediatrician for the newborn. The nurse
midwife should
a. Provide the referral as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising physician.
d. Tell the patient that she cannot make referrals.
ANS: B
The practice of nurse midwifery involves providing independent care for women during normal
pregnancy, labor, and delivery, as well as care for the newborn. As an independent practitioner,
supervising physicians are not required by the certified nurse midwife (CNM). However, a CNM
practices with a health care agency that provides medical consultation, collaborative
management, and referral. After being apprised of the CNM role, if the patient insists on seeing a
pediatrician, the nurse midwife should provide the referral.
12. The student nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). It
is important for the student to understand that the CRNA
a. Works under the guidance of an anesthesiologist.
b. Manages acute medical conditions.
c. Manages gynecological services such as PAP smears.
d. Must have a PhD degree in anesthesiology.
ANS: A
Nurse anesthetists provide surgical anesthesia under the guidance and supervision of an
anesthesiologist, who is a physician with advanced knowledge of surgical anesthesia. Nurse
practitioners, not CRNAs, manage self-limiting acute and chronic stable medical conditions;
,
,
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
a. Autonomy.
b. Accountability.
c. Advanced practice.
d. Nurse practitioner.
ANS: A
Autonomy is an essential element of professional nursing. Some independent nursing
interventions such as implementing coughing and deep breathing exercises and collaboration
with other health professionals can be initiated without medical orders. Accountability means
that the nurse is responsible, professionally and legally, for the type and quality of nursing care
provided. Advanced practice nurse is an umbrella term for advanced clinical nurses such as nurse
practitioners who provide care to a group of patients.
10. The physician is planning to take the patient to surgery in the morning and leaves an order
for the nurse to get the patient to sign the surgical permit. The physicians note indicates that the
patient has been educated on the procedure. However, the patient tells the nurse, I have no idea
what hes going to do. He rushed in and rushed out so fast, I couldnt ask any questions. The nurse
does not allow the patient to sign the permit and calls the physician to inform him of the patients
statement. This is an example of the nurse acting as
a. Patient advocate.
b. Patient educator.
c. Manager.
d. Clinical nurse specialist.
ANS: A
As a patient advocate, the nurse protects the patients human and legal rights, including the right
of the patient to understand procedures before signing permits. Although nurses can be
educators, it is the responsibility of the surgeon to provide education for the patient in
preparation for surgery, and it is the nurses responsibility to notify the physician if the patient is
not properly educated. Managers coordinate the activities of members of the nursing staff in
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
delivering nursing care, and clinical nurse specialists are experts in a specialized area of nursing
practice in a variety of settings.
11. The patient requires routine gynecological services after giving birth to her son, and while
seeing the nurse midwife, she asks for a referral to a pediatrician for the newborn. The nurse
midwife should
a. Provide the referral as requested.
b. Offer to provide the newborn care.
c. Refer the patient to the supervising physician.
d. Tell the patient that she cannot make referrals.
ANS: B
The practice of nurse midwifery involves providing independent care for women during normal
pregnancy, labor, and delivery, as well as care for the newborn. As an independent practitioner,
supervising physicians are not required by the certified nurse midwife (CNM). However, a CNM
practices with a health care agency that provides medical consultation, collaborative
management, and referral. After being apprised of the CNM role, if the patient insists on seeing a
pediatrician, the nurse midwife should provide the referral.
12. The student nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). It
is important for the student to understand that the CRNA
a. Works under the guidance of an anesthesiologist.
b. Manages acute medical conditions.
c. Manages gynecological services such as PAP smears.
d. Must have a PhD degree in anesthesiology.
ANS: A
Nurse anesthetists provide surgical anesthesia under the guidance and supervision of an
anesthesiologist, who is a physician with advanced knowledge of surgical anesthesia. Nurse
practitioners, not CRNAs, manage self-limiting acute and chronic stable medical conditions;
